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psnet.ahrq.gov/node/40014/psn-pdf
April 24, 2011 - Underreporting of patient safety incidents reduces health
care's ability to quantify and accurately measure harm
reduction.
April 24, 2011
Noble DJ, Pronovost P. Underreporting of patient safety incidents reduces health care's ability to quantify
and accurately measure harm reduction. J Patient Saf. 2010;6(4):247-…
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www.ahrq.gov/cpi/about/nac/snac-hernandez-boussard.html
December 01, 2021 - SNAC Member: Tina M. Hernandez-Boussard, Ph.D., M.P.H., M.S.
Subject Matter Expert
Associate Professor of Medicine, Biomedical Data Sciences, and Surgery
Stanford University
Tina M. Hernandez-Boussard, Ph.D., M.P.H., M.S., is an associate professor at Stanford University in medicine (Biomedical Informatics)…
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psnet.ahrq.gov/node/45590/psn-pdf
August 02, 2017 - Improving Diagnostic Accuracy Project 2016–2017.
August 2, 2017
Washington, DC: National Quality Forum; October 2016.
https://psnet.ahrq.gov/issue/improving-diagnostic-accuracy-project-2016-2017
The Improving Diagnosis in Health Care report provided recommendations to help achieve safe, reliable
diagnosis. This we…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/malnutrition-hospitalized-adults-protocol.pdf
October 19, 2020 - methods to permit an evaluation of study design and
conduct; they may also contain only a subset of measured
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hcup-us.ahrq.gov/reports/statbriefs/sb53.pdf
June 01, 2008 - Racial and Ethnic Disparities in Hospitals Patient Safety Events, 2005
HEALTHCARE COST AND
UTILIZATION PROJECT
Agen
Rese
June 2008
C. Allison Russo, M.P.H., Roxanne M. Andrews, Ph.D., and
Marguerite Barrett, M.S.
Introduction
Highli
Overall, Asian-P
had worse rate
events than wh
the…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
August 01, 2025 - Advancing Patient Safety Through Diagnostic Excellence
Advancing Patient Safety Through
Diagnostic Excellence
NATIONAL WEBINAR SERIES
September 17, 2024
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA website
• Please use the ‘Chat’ function to engage with us thro…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Describe i…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-269-respectful-maternity-care-disposition-comments.pdf
January 02, 2024 - Disposition of Comments_Comparative Effectiveness Review No. 269_Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable Maternal Healthcare Delivery and Outcomes
Comparative Effectiveness Review Disposition of Comments Report
Title: Respectful M…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2011
January 01, 2011 - Personal Health Records and Elder Medication Use Quality - 2011
Project Name
Personal Health Records and Elder Medication Use Quality
Principal Investigator
Chrischilles, Elizabeth
Organization
University of Iowa
Funding Mechanism
RFA: HS07-007: Ambulatory Safety an…
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
January 01, 2011 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2011
Project Name
Electronic Prescribing and Electronic Transmission of Discharge Medication Lists
Principal Investigator
Kaushal, Rainu
Organization
Weill Medical College of Cornell University…
-
digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - Forging a Pathway for Electronic Prescribing of Controlled Substances
Forging a Pathway for Electronic
Prescribing of Controlled Substances
1
AHRQ Health Information Technology
Ambulatory Safety and Quality | IQHIT
Electronic prescribing (e-prescribing) helps clini-
cal providers and pharmacies prescribe and di…
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
January 01, 2023 - Surveillance for Adverse Drug Events in Ambulatory Pediatrics
Project Final Report ( PDF , 941.73 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views …
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www.ahrq.gov/chsp/about-chsp/centers-of-excellence/dartmouth.html
August 01, 2017 - Dartmouth College Center of Excellence
Overview
Dartmouth College’s Center of Excellence is collaborating with the University of California at Berkeley, Harvard University, and the High Value Healthcare Collaborative to study the use of evidence-based innovations in health systems and their impact on health c…
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www.ahrq.gov/research/findings/final-reports/index.html?page=2
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/patient-safety-summit-agenda-2020.pdf
January 01, 2020 - Summit on Research Priorities for Patient Safety Improvement: Agenda
- 1 -
Agency for Healthcare Research and Quality
Summit on Research Priorities for Patient Safety Improvement
December 2-3, 2020
12:00 p.m. – 5:30 p.m.
AGENDA
December 2, 2020
12:00 p.m. – 12:20 p.m. Leader’s Intent…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Items-2022-1215-ENGLISH-508.pdf
January 01, 2022 - SOPS® Health Information Technology (IT) Supplemental Item Set for the SOPS Hospital Survey
SOPS® Health Information
Technology (IT) Supplemental Item
Set for the SOPS Hospital Survey
Language: English
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version
2.0…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - Sample “Plan-Do-Study-Act” Form
Use this form to help you plan your introduction of visual management. It includes sections to help you plan and manage all the tasks necessary to introduce a visual management board. You can also use it to gauge the success of your initial attempt at introducing vi…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-ehr.pdf
June 02, 2025 - EvidenceNow Practice Survey Codebook: EHR
EvidenceNow Practice Survey Codebook: EHR
Variable Name/ Core-
optional Status Item
These questions ask a…
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - Themes from HCBS Expert Call Discussions
11/24/09
1
Themes from HCBS Expert Call Discussions
This document is organized into three sections. The first section summarizes panelists’
comments about the validity of the indictors as a set and concerns about their use. The second
section lists factors that pane…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/speech-and-language-delay-and-disorders-in-children-age-5-and-younger-screening
January 23, 2024 - Speech and Language Screening Test (FPSLST) 37 and the SRST 38 —and 1 parent-administered instrument measured